Active NPIIndividual providerSole proprietor

Shyam A Desai, MD

Pain Medicine, Interventional Pain Medicine in Fairfield, Connecticut

NPI Number1700415973
Practice location
305 Black Rock Tpke, Fairfield, CT 06825-5508
Fax
—
Last updated
July 1, 2025

Shyam Ambrish Desai is a Pain Medicine, Interventional Pain Medicine based in Fairfield, CT. Shyam Ambrish Desai practices in Fairfield, CT and has the professional credentials of MD. The NPI Number for Shyam Ambrish Desai is 1700415973 and holds a License No. 35.150324 (OH). The current practice location address for Shyam Ambrish Desai is 305 Black Rock Tpke, Fairfield, CT 06825-5508 and can be reached out via phone at 203-337-2600.

Provider Profile Details

NPI Number
1700415973
Provider Name
Shyam Ambrish Desai
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
305 Black Rock Tpke, Fairfield, CT 06825-5508
Phone Number
203-337-2600
Primary Taxonomy
Pain Medicine, Interventional Pain Medicine · 208VP0014X
Sole Proprietor
Yes
Provider Enumeration Date
April 8, 2020
Last Update Date
July 1, 2025
Certification Date
July 1, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
305 Black Rock Tpke
Fairfield, CT 06825-5508
Zip
06825-5508
Phone Number
203-337-2600
Fairfield, CT 06825Get directions →

Provider Business Mailing Address Details

Address
305 Black Rock Tpke
Fairfield, CT 06825-5508
City
Fairfield
State
CT
Zip
06825-5508

License Information

License Number (1)
35.150324
License State (1)
OH
Taxonomy (1)
Anesthesiology · 207L00000X
License Number (2)
81161
License State (2)
CT
Taxonomy (2)
Pain Medicine, Interventional Pain Medicine · 208VP0014X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shyam A Desai, MD?

The NPI number of Shyam A Desai, MD is 1700415973. It was assigned on April 8, 2020 and is currently active in the NPPES registry.

What is the specialty of Shyam A Desai, MD?

Shyam A Desai, MD is registered under the primary taxonomy Pain Medicine, Interventional Pain Medicine (code 208VP0014X), licensed in OH under license number 35.150324.

Where does Shyam A Desai, MD practice?

The practice location is 305 Black Rock Tpke, Fairfield, CT 06825-5508. The office can be reached at 203-337-2600 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1700415973 directly on the NPPES registry website.

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